Based on record review and interviews, the facility failed to provide choices for preference of bathing schedule for two (#10 and #3) of two residents reviewed for self-determination out of 17 sample residents. Specifically, the facility failed to ensure Resident #10 and Resident #3 received their showers or baths per their preferences. Findings include: I. Facility policy and procedure The Activities of Daily Living (ADLs) policy, revised 6/19/26, was provided by the chief compliance officer on 8/5/26 at 9:44 a.m. It read in pertinent part, The facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident's abilities in ADLs do not deteriorate unless deterioration is unavoidable. …
F561 citations in Colorado
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F561 more often than its own record predicts
4.38 times the share F561 takes of citations nationally.
Of every deficiency written in Colorado in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F561 findings written in Colorado, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 1.02% | 1.94× |
| 2024 | 1.20% | 2.91× |
| 2025 | 1.68% | 4.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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